品管圈在降低输注甘露醇所致静脉炎发生率中的作用.doc

品管圈在降低输注甘露醇所致静脉炎发生率中的作用 ［ ］目的探讨开展品管圈活动对降低输注 20%甘露醇所致静脉炎发生率的作用。方法选取 2014年4?6月在我院神经外科住院并常规输注20% 甘露醇的97例患者作为对照组，采取常规常温输注甘 露醇，输注完毕未规范冲封管。选取2014年7?9月 输注20%甘露醇的105例患者作为观察组，该组患者 甘露醇输注前加热至适宜温度，输注完毕规范冲封管。 通过开展以“降低输注甘露醇所致静脉炎发生率”为 主题的品管圈活动，对活动前后两组静脉炎发生率进 行统计、分析，并制订对策及实施措施。结果开展 品管圈活动后输注甘露醇所致静脉炎发生率由67.01% 下降至22.86%，差异有统计学意义（P ［关键词］品管甘露醇；静脉炎 ［关键词］品管 甘露醇；静脉炎 ［ ］R472.9 ［ ］A ［ ］ 1674-4721 (2015)08 (b) -0161-04 Effects of quality control circle on reducing the incidence rate of phlebitis induced by injection of mannitol WANG Juan HE Hui-Ian WANG Jing MA Dan Department of Neurosurgery, the First Affiliated Hospital of Xi , an Jiangtong University, Xiz an 710061， China [Abstract] Objective To explore the effects of quality control circle on reducing the incidence rate of phlebitis induced by injection of 20% mannitol. Methods 97 patients with conventional infusion of 20% mannitol in the Department of Neurosurgery in our hospital from April to June in 2014 were selected as the control group.They were given the injection of mannitol with normal temperature，and tube flushing and sealing were not standardized after the injection.105 patients who were given the intervention of injection of 20 % mannitol from July to September 2014 were selected as observation group.The intervention measure for this group was that mannitol was heated to appropriate temperature before injection，and tube flushing and sealing was standardized after the injection.The activity of quality control circle，with the theme of reducing the incidence rate of phlebitis induced by injection of mannitol.The incidence rate of phlebitis in two groups was collected and analyzed, and strategies was formulated and implemented. Results The incidence rate of phlebitis induced by the injection of mannitol after the activity of quality control circle reduced from 67.01% to 22.86%，and the difference was statistically significant (P [Key words] Quality control circle； Mannitol； Phlebitis 20%甘露醇是神经外科常用的快速降低颅内压的 脱水药物，输注速度要求快，每日使用频次高。但此